The Experiences of and Attitudes Towards Continuing Professional Development: An Interpretative Phenomenological Analysis of UK paramedics (EAT CPD). An Interpretative Phenomenological Analysis of UK paramedics (EAT CPD)
Main Article Content
Abstract
Background: Paramedics are allied health professionals, registered with the Health and Care Professions Council (HCPC). Part of this registration is the responsibility to conduct and record continuing professional development (CPD). A sample of UK paramedics have their CPD audited ever two years as part of their re-registration process. Compared to other allied health professionals very little is known about paramedics’ engagement with CPD.
Methods: An Interpretative Phenomenological Analysis (IPA) methodology was undertaken to understand the lived experiences of the participants attitudes towards and experiences of CPD. Audio-recorded semi-structured interviews using a piloted topic guide took place with registered paramedics who worked in a variety of roles for several different healthcare employers. Interviews were professionally transcribed and analysed via thematic analysis related to IPA research.
Results: Seven interviews were conducted; one overarching domain of Paramedics experiences of and attitudes towards CPD was created from four themes shaped by a variety of subthemes. The four themes were: personal factors (attributed to areas of individual motivations to conduct CPD), professional accountability (factors relating to how CPD improves oneself and the profession), employer investment and support (how employers play their part in CPD facilitation), and Covid-19 (the impact Covid-19 had on CPD). Novel subthemes included CPD is a personal responsibility and Covid-19 factors.
Conclusions: Paramedics are faced with a plethora of factors that impact on how and why they engage with CPD. These combinations of factors are individual and personal to each paramedic. A more structured and integrated collaboration between paramedics, employers, regulators, and CPD providers could provide improved education on professional responsibilities and requirements whist also delivering focused CPD activities that have improved access for the paramedic profession.
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References
Adefuye, A.O., Van Wyk, C., and Sookram, B.P. (2020) ‘Non-compliance with continued professional development requirements: Perspectives of emergency medical care practitioners in a resource-poor setting’, Australasian Journal of Paramedicine, 17.
Alsop, A. (2013) Continuing professional development in health and social care strategies for lifelong learning, 2nd edn. Chichester: Wiley-Blackwell.
Brinkmann, S. and Kvale, S. (2018) Doing interviews, 2nd edn. London: SAGE.
Bryant, J., Zucca, A., Turon, H., Sanson-Fisher, R., and Morrison, A. (2023). ‘Attitudes towards and engagement in self-directed learning aong paramedics in New South Wales, Australia: a cross sectional study’, BMC Medical education, 23(1), 759
Busan, A.M. (2014) ‘Learning styles of medical students - implications in education’, Current Health Sciences Journal, 40, pp. 104–110.
Campbell, K. (2014) Get your students moving. Association for Middle Level Education. http://bit.ly/2mUwkVl.
College of Paramedics (2019). Become a Paramedic, Available at: https://www.collegeofparamedics.co.uk/COP/Become_a_Paramedic/COP/BecomeAParamedic/Become_a_Paramedic.aspx?hkey=f10838de-b67f-44a0-83b7-8140d8cdba83 (Accessed: 01 February 2022).
Draper, J. and Clark, L. (2007) ‘Impact of continuing professional education on practice: the rhetoric and the reality’, Nurse Education Today, 27(6), pp. 515-517.
Flick, U. (2018) Doing Triangulation and Mixed Methods, London: SAGE.
Gent, P. Continuing Professional Development for Paramedics: A Systematic Literature Review. Australasian Journal of Paramedicine. 2016; 13(4) https://doi.org/10.33151/ajp.13.4.239.
Gill, M.J. (2020) ‘Phenomenological approaches to research’, in Mik-Meyer, N. and Järvinen, M. (Eds.) Qualitative Analysis: Eight approaches. London: Sage, pp. 73-94.
Gould, D., Drey, N. and Berridge, E. J. (2007) ‘Nurses’ experiences of continuing professional development’, Nurse Education Today. 27, pp. 602–609.
Grossman, J. (1998) ‘Continuing competence in the health professions’, American Journal of Occupational Therapy, 52 pp. 709–15.
Haywood, H., Pain, H., Ryan, S. and Adams, J. (2012) ‘Continuing Professional Development: Issues Raised by Nurses and Allied Health Professionals Working in Musculoskeletal Settings’, Musculoskeletal Care, 11, pp. 136–144.
Health and Care Professions Council. (2012) Continuing professional development audit report 2009-2011. Available at: https://www.hcpc-uk.org/resources/reports/2011/continuing-professional-development-audit-report-2009-11/ (Accessed: 19 January 2022).
Health and Care Professions Council. (2014a) Continuing professional development audit report 2011-2013. Available at: https://www.hcpc-uk.org/resources/reports/2013/continuing-professional-development-audit-report-2011-13/ (Accessed: 19 January 2022).
Health and Care Professions Council. (2014b) Standards of proficiency – Paramedics, London.
Health and Care Professions Council. (2016a) Standards of conduct, performance and ethics, London.
Health and Care Professions Council. (2016b) Continuing professional development audit report 2013-2015. Available at: https://www.hcpc-uk.org/resources/reports/2015/continuing-professional-development-audit-report-2013-15/ (Accessed: 19 January 2022).
Health and Care Professions Council. (2017) Continuing Professional Development and your Registration, Available at: https://www.hcpc-uk.org/globalassets/resources/guidance/continuing-professional-development-and-your-registration.pdf?v=637106442760000000 (Accessed: 24 Jan 2022).
Health and Care Professions Council. (2018) Making the professional declaration, available at: Making the professional declaration | (hcpc-uk.org) (Accessed: 14 January 2022).
Health and Care Professions Council. (2019) Continuing professional development audit report 2015-2017. Available at: https://www.hcpc-uk.org/resources/reports/2019/continuing-professional-development-audit-report-2015-17/ (Accessed: 19 January 2022).
Health and Care Professions Council. (2021a) Registrant snapshot – 1 September 2021, available at: Registrant snapshot - 1 September 2021 | (hcpc-uk.org) (Accessed: 14 January 2022]).
Health and Care Professions Council. (2021b) Standards of continuing professional practice available at: Standards of continuing professional development | (hcpc-uk.org) (Accessed: 01 March 2021)
Health and Care Professions Council. (2021c) Paramedic CPD audit 2017-2019. Available from: https://www.hcpc-uk.org/about-us/insights-and-data/cpd/cpd-audit-statistics-2017-2019-pa/ [Accessed: 19 Jan 2022].
Health and Care Professions Council. (2023) Paramedic CPD audit 2021. [Accessed on 11 July 2023]. Available from: https://www.hcpc-uk.org/about-us/insights-and-data/cpd/cpd-audit-statistics-2019-2021/cpd-audit-statistics-2018-2020-pa/
Health Research Authority (2021) Student Research. Available at: https://www.hra.nhs.uk/planning-and-improving-research/research-planning/student-research/ (Accessed: 01 September 2021).
Hobbs, L., Devenish, S., Long, D., and Tippett, V. (2021). ‘Facilitators, barriers and motivators of paramedic continuing professional development’, Australasian Journal of Paramedicine 18, pp. 1-7.
Holloway, I. and Galvin, K. (2017) Qualitative research in nursing and healthcare, 4th edn. Chichester, Oxford: Wiley Blackwell.
Howitt, D. (2020) Research methods in psychology, 6th edn. Harlow: Pearson.
Illing, J., Crampton, P., Rothwell, C., Corbett, S., Tiffin, P. and Trepel, D. (2017) CPD report: What is the evidence for assuring the continuing fitness to practise of HCPC registrants, based on its CPD and audit system? Available at: https://www.hcpc-uk.org/resources/reports/2017/cpd-report-what-is-the-evidence-for-assuring-the-continuing-fitness-to-practise-of-hcpc-registrants-based-on-its-cpd-and-audit-system/ (Accessed: 12 January 2022).
Karas, M., Sheen, N.J.L., North, R.V., Ryan, B. and Bullock A. (2020) ‘Continuing professional development requirements for UK health professionals: a scoping review’, BMJ Open. 10(3):e032781. doi: 10.1136/bmjopen-2019-032781. PMID: 32161156; PMCID: PMC7066625.
Knox, S., Cullen, W., and Dunne., C. (2014) ‘Continuous Professional Competence (CPC) for Irish paramedics and advanced paramedics: a national study’, BMC medical education, 14; 14 (1) pp.41–41. doi: 10.1186/1472-6920-14-41.
Knox, S., Cullen, W. and Dunne, C. (2015) ‘A national study of Continuous Professional Competence (CPC) amongst pre-hospital practitioners’, BMC Health Services Research, 15, pp.532-542.
Mack, H. G. and Filipe, H.P. (2021) ‘Clinical teaching of CPD during the COVID pandemic’. The Clinical Teacher, 18(1), pp. 84–86. https://doi.org/10.1111/tct.13261
Matthews, B. and Ross, L. (2010) Research methods: a practical guide for the social sciences, Harlow: Longman.
National Health Service. (2022) The AHP Strategy for England: AHPs Deliver. Available at: https://www.england.nhs.uk/wp-content/uploads/2022/06/allied-health-professions-strategy-for-england-ahps-deliver.pdf (Accessed: 05 August 2022).
O'Brien, B.C., Harris, I.B., Beckman, T.J., Reed, D.A., and Cook, D.A. (2014) ‘Standards for reporting qualitative research: a synthesis of recommendations’, Academic Medicine, 89 (9) pp.1245-1251.
Paramedicine Board of Australia. (2018). Registration standard: Continuing Professional Development. Available at: https://www.paramedicineboard.gov.au/Professional-standards/Registration-standards/CPD.aspx (Accessed: 24 April 2024).
Patton, M.Q. (2021). Qualitative Research and Evaluation Methods Integrating Theory and Practice, 4th Edn. London: SAGE.
Peat, G., Rodriquez, A., and Smith, J. (2019) ‘Interpretive phenomenological analysis applied to healthcare research’, Evidence Based Nursing, 22 (1) pp.7-9.
Rowland, P., Tavares, W., Lowe, M., Tripp, T., Richardson, J., Anderson, M., Oja, L.A., Paton, M., Wiljer, D., Woods, N., and Ng, S. (2022). ‘Rapid Knowledge Mobilization and Continuing Professional Development: Educational Responses to COVID-19’, The Journal of continuing education in the health professions, 42(1): pp. 66-69.
Rodriguez, A., and Smith, J. (2018) ‘Phenomenology as a healthcare research method’, Evidence Based Nursing, 21 (4) pp.96–98. doi: 10.1136/eb-2018-102990.
Sargeant, J., Wong, B. M., and Campbell, C. M. (2018) ‘CPD of the future: a partnership between quality improvement and competency‐based education’, Medical education. 52(1), pp. 125–135. doi: 10.1111/medu.13407.
Samarakoon, L., Fernando, T. and Rodrigo, C. (2013) ‘Learning styles and approaches to learning among medical undergraduates and postgraduates’, BMC Medical Education, 13, pp. 42–47. doi: 10.1186/1472-6920-13-42.
Silversides, K. (2015) Perceptions and experiences of the HCPC's approach to continuing professional development standards and audits. Available at: https://www.hcpc-uk.org/resources/reports/2016/perceptions-and-experiences-of-the-hcpcs-approach-to-continuing-professional-development-standards-and-audits/ [Accessed: 12 Jan 2022].
Smith, J.A. (1996) ‘Beyond the divide between cognition and discourse: Using interpretative phenomenological analysis in health psychology’, Psychology & Health, 11, pp.261-271.
Smith, J.A. (2011) ‘Evaluating the contribution of interpretative phenomenological analysis’, Health psychology review, 5(1), pp. 9–27. doi:10.1080/17437199.2010.510659.
Smith, J.A., Flowers, P. and Larkin, M. (2009) Interpretative phenomenological analysis: Theory, method, research, London: SAGE.
Smith, J.A. and Osborn, M. (2015) ‘Interpretative phenomenological analysis as a useful methodology for research on the lived experience of pain’, British journal of pain, 9 (1), pp.41–42. doi:https://doi.org/10.1177/2049463714541642.
Tuohy D., Cooney A., Dowling M., Murphy K., and Sixsmith J. (2013) ‘An overview of interpretive phenomenology as a research methodology’. Nurse Research, 20 (6), pp.17-20. doi:https://doi.org/10.7748/nr2013.07.20.6.17.e315. PMID: 23909107.
Underwood, M., Satterthwait, L.D. and Bartlett, H.P. (2010) ‘Reflexivity and minimization of the impact of age-cohort difference between researcher and research participants’, Qualitive Health Research, 20(11) pp.1584-1595.
Vazquez-Calatayud, M., Errasti-Ibarrondo, B. and Choperena, A. (2021) ‘Nurses’ continuing professional development: A systematic literature review’, Nurse Education in Practice, 50.
Walter, J.K. and Terry, L.M. (2021) ‘Factors influencing nurses’ engagement with CPD activities: a systematic review’, British Journal of Nursing, 30(1), pp. 60-68.
Wheeldon, J. and Ahlberg, M. (2012) Visualizing social science research maps, methods & meaning. London: SAGE.
Williams B. and Edlington T. (2019) ‘Attitudes towards continuing professional development: a qualitative study of Australian paramedics’, Australasian Journal of Paramedicine, 16. https://doi.org/10.33151/ajp.16.717.
Wilson, C. (2014) Interview techniques for UX practitioners: a user-centred design method, 1st edn. Waltham USA: Morgan Kaufmann.
Wood, K. (2012) ‘Integrating clinical research into paramedic practice: current trends and influences’, Journal of Paramedic Practice, 4(9), pp. 502-508.